Kennedy, Julie Allen

Kennedy, Julie Allen is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Suite 200, Gilbert AZ 85234-2168. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kennedy, Julie Allen can be contacted via phone (480) 964-2908.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Suite 200 Gilbert AZ 85234-2168
Phone: (480) 964-2908
Fax: (480) 833-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2765 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2765 Arizona

Profile Details

NPI number 1437120144
LBN Legal business name Kennedy, Julie Allen
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Oct 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437120144 NPPES
Arizona Other 3Z3970 HEALTHNET
Arizona MEDICAID 774811 HEALTHNET

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